Washington Sample Letter for Request for Client Contact

State:
Multi-State
Control #:
US-0163LTR
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

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FAQ

DSHS (ACES) sends letters to our clients when there is important information about the clients' food, cash, or medical benefits. It is critical for the clients to read these letters and follow the instructions as needed. The clients may not be able to receive the benefits if failing to follow the instructions.

To check your balance, reset your PIN or report a lost/stolen EBT card, call the EBT Vendor at 1-888-328-9271.

Reporting Requirements - What do you need to report? For cash, food, or child care assistance: If you receive cash or food, you must report changes listed in WAC 388-418-0005 by the 10th of the next month after the change. For example, if you have a change today, report it by the 10th of next month.

Use the DSHS Online Application at to: Start a new application. Report a change, such as address, income or family situation. Submit an eligibility review for continuing benefits.

Who is eligible for this program? Household Size*Maximum Income Level (Per Year)1$29,1602$39,4403$49,7204$60,0004 more rows

Phone: Call the DSHS Customer Service Center at 1-877-501-2233. Paper: Submit verification of the change to: DSHS-CSD, PO Box 11699, Tacoma, WA 98411-6699.

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Washington Sample Letter for Request for Client Contact